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Urine gonococcal/Chlamydia testing in adolescents

Spigarelli, Michael G

Current Opinion in Obstetrics and Gynecology: October 2006 - Volume 18 - Issue 5 - p 498–502
doi: 10.1097/01.gco.0000242951.87125.b2
Adolescent and pediatric gynecology

Purpose of review This review will highlight the recent literature findings regarding urine-based Chlamydia and gonorrhea testing in adolescents.

Recent findings Rates of Chlamydia trachomatis are increasing, likely due to increased detection efficiency, but have not yet begun to decrease. Neisseria gonorrhoeae is at an all-time low. Urine-based testing for sexually transmitted infections is readily available and convenient but underutilized. Interesting approaches to a more universal screening program, including self-collected, mail-in urine samples, have been shown to be effective.

Summary In spite of recommendations urging universal screening for C. trachomatis and N. gonorrhoeae and the availability of highly accurate and convenient tests, screening rates for adolescents and young adults remain below the universal recommendations. Strategies to improve screening rates should take advantage of urine-based screening methodologies for sexually transmitted infections because of their cost-effectiveness as well as the convenience for patient and provider.

Cincinnati Children's Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio, USA

Correspondence to Michael G. Spigarelli, MD, PhD, Division of Adolescent Medicine, Cincinnati Children's Hospital Medical Center, 3333 Burnet Avenue, ML 4000, Cincinnati, OH 45229-3039, USA Tel: +1 513 636 3232; e-mail:

© 2006 Lippincott Williams & Wilkins, Inc.